DR. SUSAN NILETTE YOUNG (NPI# 1215039656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215039656 |
Entity Type | Individual |
Full Name | DR. SUSAN NILETTE YOUNG |
Credential | PSY. D. |
Practice Address |
13400 Sutton Park Dr S Suite 1504 Jacksonville FL 32224-0236 |
Mailing Address |
600 Ironwood Dr Unit 635 Ponte Vedra Beach FL 32082-5219 |
Practice Telephone | 9042236414 |
Practice Fax Number | 9042236418 |
Mailing Telephone | 9044773124 |
Enumeration Date | 2006-09-05 |
Last Update Date | 2011-10-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | PY7306 | FL | Behavioral Health & Social Service Providers |
N | 103T00000X | Psychologist | PY 7306 | FL | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
PY 7306 | FL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619584984 | Susan Young | Homemaker | 3405 Fairmount Blvd, Cleveland Heights, OH 44118-4215 | 2020-09-30 |
1972137115 | Susan Young | Counselor | 3821 Starrs Centre Dr Ste B, Canfield, OH 44406-8003 | 2020-02-26 |
1760839419 | Susan Beth Young | Occupational Therapist | 7900 W 118th Pl, Overland Park, KS 66210-2572 | 2016-05-23 |
1336406230 | Susan Elizabeth Young | Occupational Therapist | 11 Stillwater Ave, Massapequa, NY 11758-8419 | 2012-04-16 |
1194961987 | Susan L Young | Speech-Language Pathologist | 250 Barclay Ave, Staten Island, NY 10312-4802 | 2008-12-28 |
1760698260 | Susan Mary Young | Marriage & Family Therapist | 9263 Dee Rd, Des Plaines, IL 60016-4227 | 2007-05-14 |
1831245083 | Susan Amy Young | Physical Therapist | 105 Jupiter St, Sheppard Afb, TX 76311-1011 | 2007-01-27 |
1346293560 | Susan Luke Young | Social Worker | University Psychiatric Assoicates, Pa, 8320 University Executive Park Dr, Suite 104, Charlotte, NC 28262 | 2006-05-18 |
1467430496 | Susan Blythe Young | Surgery | 1301 Ne 1st St, Suite 200, Pryor, OK 74361-8850 | 2006-01-09 |
1225015126 | Susan E Young | Dentist | 2807 Wilmington Rd, New Castle, PA 16105-1263 | 2005-12-30 |
Street Address |
13400 SUTTON PARK DR S SUITE 1504 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32224-0236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255331237 | Randi Most | Clinical Neuropsychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2005-07-30 |
1588122188 | Rayna Vaught Godfrey | Psychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 | 2019-03-04 |
1457755530 | Healing Hearts Therapy LLC | Counselor | 13400 Sutton Park Dr S, Suite 1001-4/5, Jacksonville, FL 32224-0236 | 2014-10-17 |
1093128878 | Haley Dawson | Counselor | 13400 Sutton Park Dr S, Ste 1001, Jacksonville, FL 32224-0236 | 2014-06-09 |
1093099970 | Theresa Maria Dinuzzo | Psychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2011-10-10 |
1235455239 | Providential Health Care, Inc | In Home Supportive Care | 13400 Sutton Park Dr S, Suite 1101, Jacksonville, FL 32224-0236 | 2010-04-15 |
1295965176 | Ian Seth Otto | Speech-Language Pathologist | 13400 Sutton Park Dr S, Suite 1101, Jacksonville, FL 32224-0236 | 2009-07-25 |
1427203736 | Liza Cristin Provenzano | Counselor | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2008-12-01 |
1699948547 | Sharon A Knapp | Massage Therapist | 13400 Sutton Park Dr S, Suite 1502, Jacksonville, FL 32224-0236 | 2008-04-10 |
1770788390 | Susan N Young Inc | Clinical Neuropsychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2007-06-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
Find all providers in zip 32224 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447604806 | Rujvi Kamat | Clinical Neuropsychologist | 1235 San Marco Blvd Fl 4, Jacksonville, FL 32207-8554 | 2016-04-21 |
1750744405 | Andrew J Ruffett Phd LLC | Clinical Neuropsychologist | 11869 Curlew Way, Jacksonville, FL 32223-1939 | 2016-03-31 |
1629499819 | Bay Area Psychology Associates | Clinical Neuropsychologist | 302 Woodberry Pl, Jacksonville, NC 28540-4264 | 2013-12-14 |
1356778898 | Behavioral Health of North Florida Pllc | Clinical Neuropsychologist | 3733 University Blvd W Ste 214, Jacksonville, FL 32217-2128 | 2013-09-30 |
1093939498 | Christopher Rackley | Clinical Neuropsychologist | 1660 Prudential Dr Ste 210, Jacksonville, FL 32207-8185 | 2007-04-13 |
1336256353 | Elizabeth Tannahill Glen Keymer | Clinical Neuropsychologist | 751 Oak St Ste 120, Jacksonville, FL 32204-3359 | 2006-08-24 |
1215989991 | David S Sabsevitz | Clinical Neuropsychologist | 4500 San Pablo Rd S Dept Of, Jacksonville, FL 32224-1865 | 2006-05-17 |
1902880537 | Andrew J Ruffett | Clinical Neuropsychologist | 3617 Crown Point Rd, Ste 6, Jacksonville, FL 32257-9010 | 2005-12-06 |
1255331237 | Randi Most | Clinical Neuropsychologist | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 | 2005-07-30 |
1619973997 | Nicole Annette Hagedorn | Clinical Neuropsychologist | 2680 Henderson Dr Ste 5, Jacksonville, NC 28546-5297 | 2005-06-22 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32224 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.